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PERMfr1EE NAMFJADDRESS pneidlisWryNr'Ioenlen yq~.r,+q
<br />NAME COLUWY^ i:C?AL Lg11'''~`~NY~ L '.~
<br />ADDRESS '-OLOW`f0 M11VF
<br />.",'7~i STATE HIG;aWAY I3
<br />MEEKER C'O c3iS41
<br />FACIIm
<br />LOGTXXq ~ .' -
<br />A'fTN: J u. HARMUhd. GF-NERAL ;'IA^Jf~GER
<br />NAnONAI POLLUTMT DISCNMOE EIIMINAnON SY4TEM rrNPDESI
<br />DISCHARGE MONITORING REPORT (DAIRI
<br />L'(JO-'45151 On..i
<br />PERMIT.NUMBER ~ --,~~dscNMDENwern
<br />MONITORING PERIOD
<br />YEAR ~ MO DAY YEAR MO DAY
<br />FROM :;~, 1v y} TO vi - -~
<br />"11iEr.
<br />- FINAL MOFAT
<br />LDADOUT 5EDI PDND TO WILSDN %R
<br />~ira'ICki,ARGE~I qt..~a
<br />NOTE: Rud ImWetlaFr briar. eompMllnp lhb form.
<br />PARAMETER QUANTITY OR LOADIN G -~''~,, 1' QUd~ 7 t
<br />Y Or Concentration ~ ,~ rio. F"FO;F"`r SAMPLE
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<br />~ EX'
<br />
<br />
<br />ERA
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<br />
<br />MAX
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<br />T
<br />
<br />MAXIMUM
<br />
<br />UNITS~
<br />ANrtrsls TYPE
<br /> AV
<br />G IMUM UNI
<br />S MINIMUM AVERAGE ,t~
<br />h'H SAMPLE a,r#°Y-,t# Yrv#ti+f=' at:i~A;*':.~+ ~ 121
<br /> MEASUREMENT '
<br /> ,! :c
<br />00400 'I O 0 " ~'PERMIT:.'. .~ ~. ~":• x;Fa,t ~:.'.;::~+:...1 ...:..... ....~ '~~.:.v~.:r.::::::.n~.. '. .. .. •-:cF:'°i.L..~ L~Ct:J] rt
<br />EFFLUEN'i GROSS VALU :REQUIREMENT
<br />~~~ " t.-aa ~.~(j~c. •..:r:, . ~:;
<br />,~;LJL Ills. iOTAL_ SAMPLE +F#ra~n~a -~''r4 R-'a. ~~#-IHFiF!* '~. :. '+
<br />SUSFEfdDE.D MEASUREMENT
<br />60`~JO 7 O O .PERMIT •I ::-a:-r a~# ~ .,. .. c •' 1 .
<br />EF"FLVENI' GROSS VF.L.U REQUIREMENT, #-X~Nr <;•Ny.,.::' .:,.3(3C/A'.A:.li:: . : MC:'L
<br />`:IJL '. U`.. ;'ETTLEAIILE SAMPLE -rn=+'k-t #4+: itn .n .q.µ,~~# .. .
<br /> MEASUREMENT
<br />%~:
<br />U0545 L O O PERMIT....' .'~,.-',t -s<r.: ::' qit i~k:::f -ii~a ,.:.u.itM ,lY~'A,%
<br />... ::.:t~};:F'3.=i:::
<br />' :L-i L+1''9Li
<br />EFFLUEN'T' GROSS VALU ::REOUIREMENT' .. ':.: ..".. l'~ ~.... .:.. ..~ ~q+Fa+i ..,~:~~
<br />
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<br />,:::.~
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<br />.. .LyF.:. :'`~;;<''~.i..:.;:~"i~: fl! 'L. ~L:hTt .
<br />.1RON1 TOTAL SAMPLE .1=r,f ~}rl a~ ac~,.# ~~ ~N'#~It#N '".' ~ a I ! `~
<br />(rig PE1 MEASUREMENT ~! ~'..
<br />i'3049 ! O D :::;:''PERMIT.; .. ...~.#.k:.i 3t aP ~: #aF #.;:.>Y q{.' lax<t .: .x jSS .,F:R j., p'; y:yx,:;l".`°z: .. .`'.S';;:g~.';', iii•^iC'.i
<br />FFFLtJENT GR055 VALV ?REOUIREMENT~
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<br />~'. .: ~:' ~~ s».'~r pqi;: I- '.'':L~til'F
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<br />CfIL AND GREASE
<br />SAMPLE
<br />xatr Air ,'F
<br />'~F'o'Taa'*
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<br />'~ '~iFiFil ~R a~i/ r ,
<br />-
<br /> MEASUREMENT ~~ ~ '
<br /> ,1 : :_
<br />03882 1 O 0 ~PERMIT.'~':
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<br />~ ~~.`;;~z~+~s}v~y -'•. s-m';;~.IS . ;,r.-_e. .;~1E' ~!; 'jai:;A+"9tti~--:`~.:''': .:!iL: I~.1P t~k:"~i;
<br />cFFL'JEN-' GROS5 VALU :
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<br />:REOUIREMENT~ '~ :..~.. ~'.~ ~~;. ~. ~ ~ .. ..+~~::aa .. ... ''<~~~$ ~ ;ta~!~'';~f•i;.a
<br />,.. ... M9.'L. ~ ';:r';V'i' ~.
<br />FLOW IN CONDUIT OR SAMPLE ( •`.'?~ -1ir#### .. .ikgt###rl i1=tq.p. -t +7
<br />HP,U Th'EATMENT PLAN MEASUREMENT
<br />Sii050 :. 0 0 "PER.MIT RfFCriT ^ H`?Ea~;'':` ~;F:xii-u•;r>
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<br />• -y::. ,•.?~•.: as: rra c•.':-I:.'Y54'1 ltv:arnt
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<br />EFFLUENT GROSS VALV .REQUIREMENT
<br />: ~ ~ ~~ ~
<br />~:?!'F;€; AV:? ..
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<br />SOLIDS. TOTAL_ SAMPLE 4i1###'k oT###i1b ~ ####dF# ~ t 1. Y. -
<br />I;' ISSOLUF D MEASUREMENT
<br />"6295 1 O 0 '.~~::PERMIT ~ ~' +!"k :.~t?Fit .."*9~:5`Fir3v' to:R# .:. isik'•'q.ir.71:.' .:•;:.'''.yy.k'1'ii'rj~.:y .~:~...;::L:Y"~t.lk~~7.' ';
<br />` ~{.!<.{',.i lirnc
<br />EFFi UEN'. GROSS VALU :REOUIREMENT .. ~ ~ ~~:.:~ ..:~ ~ Yitodt ~~: .:.~ (. ::+~
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<br />CODE" NUMBER YEAR MO DAY
<br />cumm[y I J nnv Lnrlnnn I Ivn yr nn a .IV~n uvna rrtnrrrsncrl ai ~rracnmmn n~rq .. t,
<br />SETTLEA3L.E SOLIDS L7MIT APPLIES UNL'! .(;-' .-=IUYk'?. 24HP. PP.ECIP FVEPiT I5 LAih1ED. IFI C~I~M APPROVIiD UY WbCD:
<br />T5S & IRON LIMITS WILL NOT I?E AFPLLL-D TG HPPURTED MEASUREMENTS - SEE I. A. 2, PG. ,~l~.tJR BURDEN ^F PROOF
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